Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.64 / $548.53 / $548.53	Facility		$385.64	$548.53	$548.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.93 / $477.51 / $842.86	Professional		$336.93	$477.51	$842.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.85 / $1,118.98 / $1,563.07	Professional		$767.85	$1,118.98	$1,563.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $526.21 / $676.62 / $1,262.13	Facility		$526.21	$676.62	$1,262.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $492.75 / $1,225.83 / $3,979.84	Professional		$492.75	$1,225.83	$3,979.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $812.41 / $1,175.40 / $1,969.98	Facility		$812.41	$1,175.40	$1,969.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $711.00 / $988.51 / $1,414.07	Professional		$711.00	$988.51	$1,414.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $531.32 / $756.87 / $1,044.74	Professional		$531.32	$756.87	$1,044.74
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $195.48 / $195.48 / $195.48	Professional	AS	$195.48	$195.48	$195.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $588.04 / $965.99 / $1,502.65	Professional		$588.04	$965.99	$1,502.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $750.80 / $918.70 / $1,268.09	Professional		$750.80	$918.70	$1,268.09